| NPI | 1609820711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MI 4301086794) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301086794) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2016-02-10 |